PNR 205/PNR205 Final Exam V1 |
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is utilizing a democratic leadership style during a staff meeting. Which
action by the manager best demonstrates this style?
A. Allowing staff members to vote on the new holiday schedule.
B. Making all decisions for the unit without staff input.
C. Providing no direction and letting staff handle conflicts themselves.
D. Using threats of discipline to ensure compliance with policies.
Correct Answer: A
Expert Explanation: Democratic leadership involves including the team in the decision-
making process to foster a sense of ownership. By allowing staff to vote on the schedule,
the manager encourages participation and collaboration. This style often results in higher
staff satisfaction and better cooperation within the nursing unit.
2. A Licensed Practical Nurse (LPN) is delegating tasks to a Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Assessing a patient’s surgical incision site.
B. Teaching a client how to use an incentive spirometer.
C. Assisting a stable client with a bed bath.
,D. Administering an initial dose of intravenous medication.
Correct Answer: C
Expert Explanation: Assisting with activities of daily living (ADLs) like a bed bath for a
stable client is within the scope of practice for a UAP. Assessment, teaching, and medication
administration require clinical judgment and are the responsibility of the licensed nurse.
The nurse must always ensure the task matches the UAP’s skill level and the client’s
current status.
3. Which ethical principle is a nurse following when they ensure that all clients on the unit
receive the same quality of care regardless of their insurance status?
A. Autonomy
B. Fidelity
C. Justice
D. Non-maleficence
Correct Answer: C
Expert Explanation: Justice refers to the principle of fairness and equality in the
distribution of resources and care. When a nurse provides equal care to all patients
regardless of socioeconomic factors, they are upholding this principle. This ensures that
every individual is treated with the same level of dignity and professional attention.
, 4. A nurse is caring for several clients and must prioritize care. Using the Maslow’s Hierarchy
of Needs, which client should the nurse see first?
A. A client who is lonely and requests a visit from the chaplain.
B. A client with a low self-esteem due to a recent amputation.
C. A client experiencing shortness of breath and low oxygen saturation.
D. A client asking about the long-term effects of their new medication.
Correct Answer: C
Expert Explanation: Maslow’s Hierarchy prioritizes physiological needs, such as breathing
and circulation, above all others. Shortness of breath indicates a compromise in the most
basic survival need, making it the highest priority. Once physiological stability is achieved,
the nurse can address safety, love/belonging, and esteem needs.
5. When resolving a conflict between two staff members, the nurse manager uses a
‘collaborating’ strategy. What is the primary characteristic of this approach?
A. One party gives up their needs to satisfy the other.
B. Ignoring the problem until it goes away on its own.
C. The manager makes a decision that neither party likes.
D. Both parties work together to find a win-win solution.
Correct Answer: D
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is utilizing a democratic leadership style during a staff meeting. Which
action by the manager best demonstrates this style?
A. Allowing staff members to vote on the new holiday schedule.
B. Making all decisions for the unit without staff input.
C. Providing no direction and letting staff handle conflicts themselves.
D. Using threats of discipline to ensure compliance with policies.
Correct Answer: A
Expert Explanation: Democratic leadership involves including the team in the decision-
making process to foster a sense of ownership. By allowing staff to vote on the schedule,
the manager encourages participation and collaboration. This style often results in higher
staff satisfaction and better cooperation within the nursing unit.
2. A Licensed Practical Nurse (LPN) is delegating tasks to a Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Assessing a patient’s surgical incision site.
B. Teaching a client how to use an incentive spirometer.
C. Assisting a stable client with a bed bath.
,D. Administering an initial dose of intravenous medication.
Correct Answer: C
Expert Explanation: Assisting with activities of daily living (ADLs) like a bed bath for a
stable client is within the scope of practice for a UAP. Assessment, teaching, and medication
administration require clinical judgment and are the responsibility of the licensed nurse.
The nurse must always ensure the task matches the UAP’s skill level and the client’s
current status.
3. Which ethical principle is a nurse following when they ensure that all clients on the unit
receive the same quality of care regardless of their insurance status?
A. Autonomy
B. Fidelity
C. Justice
D. Non-maleficence
Correct Answer: C
Expert Explanation: Justice refers to the principle of fairness and equality in the
distribution of resources and care. When a nurse provides equal care to all patients
regardless of socioeconomic factors, they are upholding this principle. This ensures that
every individual is treated with the same level of dignity and professional attention.
, 4. A nurse is caring for several clients and must prioritize care. Using the Maslow’s Hierarchy
of Needs, which client should the nurse see first?
A. A client who is lonely and requests a visit from the chaplain.
B. A client with a low self-esteem due to a recent amputation.
C. A client experiencing shortness of breath and low oxygen saturation.
D. A client asking about the long-term effects of their new medication.
Correct Answer: C
Expert Explanation: Maslow’s Hierarchy prioritizes physiological needs, such as breathing
and circulation, above all others. Shortness of breath indicates a compromise in the most
basic survival need, making it the highest priority. Once physiological stability is achieved,
the nurse can address safety, love/belonging, and esteem needs.
5. When resolving a conflict between two staff members, the nurse manager uses a
‘collaborating’ strategy. What is the primary characteristic of this approach?
A. One party gives up their needs to satisfy the other.
B. Ignoring the problem until it goes away on its own.
C. The manager makes a decision that neither party likes.
D. Both parties work together to find a win-win solution.
Correct Answer: D
